License holder summary

Stacey Nicole Russo is a Athletic Trainer licensed to practice in Indiana. The address on file for Stacey Nicole Russo is Muncie IN 47304. This licensed professional license is not current. The license was granted 01/30/2002 and expired on 12/31/2004.

Indiana

Professional Licensing Agency

Stacey Nicole Russo
Athletic Trainer
License number
36000854A
Date granted
01/30/2002
Date expires
12/31/2004
Class
Athletic Trainer
Status
Expired
Address
Muncie IN 47304
indianalicensing.org
ID 1747559
LAST UPDATED 2024-03-14 08:35:11 UTC

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